| Dr Ruben Antenor Moreno, MD | |
|
5070 Minton Rd Nw, Suite 5, Palm Bay, FL 32907-1157 | |
| (321) 768-1600 | |
| Not Available |
| Full Name | Dr Ruben Antenor Moreno |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 44 Years |
| Location | 5070 Minton Rd Nw, Palm Bay, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225092331 | NPI | - | NPPES |
| 592896023 | Other | FL | UNITEDHEALTHCARE |
| 0561133 | Other | FL | CIGNA |
| 05683 | Other | FL | BCBS |
| 20015 | Other | FL | FLORIDIANCARE |
| 4112056 | Other | FL | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | ME51282 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Dermatology Associates Inc | 1557269982 | 7 |
| Entity Name | Florida Dermatology Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073577136 PECOS PAC ID: 1557269982 Enrollment ID: O20031223000239 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ruben Antenor Moreno, MD 5070 Minton Rd Nw, Suite 3a, Palm Bay, FL 32907-1157 Ph: (321) 768-1600 | Dr Ruben Antenor Moreno, MD 5070 Minton Rd Nw, Suite 5, Palm Bay, FL 32907-1157 Ph: (321) 768-1600 |
Shery Mathew Varghese, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1761 Palm Bay Rd Ne, Palm Bay, FL 32905 Phone: 321-220-6400 | |
Dr. Robert Michael Taylor, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 5070 Minton Rd Nw, Ste 5, Palm Bay, FL 32907 Phone: 941-484-1510 Fax: 941-484-1071 | |
Mr. Jason L Lockridge, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1761 Palm Bay Rd Ne, Palm Bay, FL 32905 Phone: 321-220-6400 Fax: 321-220-6401 |